[Monobloc distraction osteogenesis and cranial vault remodeling in a pediatric patient with severe Crouzon's syndrome].
OBJECTIVE
To report the treatment of a case of severe Crouzon's syndrome using monobloc distraction osteogenesis and cranial vault remodeling.


METHODS
Through intra-and extra-cranial approach, monobloc osteotomy was performed and external distractor was placed. Distraction began on the 7th postoperative day at a rate of 1 mm a day, two times a day. The distractor removed after consolidation for 4 months.


RESULTS
The distraction distance attained 20 mm. The exophthalmos and cross bite were corrected completely. The severe obstructive apnea improved markedly.


CONCLUSIONS
Monbloc distraction osteogenesis and cranial vault remodeling are effective and safe procedure for Crouzon's syndrome.
Wei
Min
M
Department of Plastic and Reconstructive Surgery, Ninth People's Hospital, Shanghai Jiaotong University, Shanghai 200011, China.
Zhan
Ming-Kun
MK
Fang
Jian-Lin
JL
Zhang
Ying
Y
Guo
Zhi-Lin
ZL
Qi
Zuo-Liang
ZL
D002648:Child; D003394:Craniofacial Dysostosis / Q000601:surgery*; D005260:Female; D006801:Humans; D019857:Osteogenesis, Distraction / Q000379:methods*; D010027:Osteotomy; D012886:Skull / Q000601:surgery*